Lovvorn Drug Company LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE008702 Issued in GA

Legal business name

LOVVORN DRUG COMPANY LLC

Doing business as

Lovvorn Drug Company LLC

Practice address

404 Alabama Ave S
Bremen, GA 30110-2006

Phone

(770) 537-8889

Fax

(770) 537-8817

NPI assigned

Aug 30, 2006

Last updated

Nov 22, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brandall S Lovvorn, PHARM.DNPI 1720012057

Title

Owner/Pharmacist

Phone

(770) 537-8889

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Lovvorn Drug Company LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandall Lovvorn, RPH. PHARMD

  • Pharmacist
  • Bremen, GA
  • NPI 1720012057
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1922117282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301100603",
            "telephone_number": "770-537-8889",
            "fax_number": "770-537-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 ALABAMA AVE S",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102006",
            "telephone_number": "770-537-8889",
            "fax_number": "770-537-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVVORN DRUG COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "LOVVORN",
        "authorized_official_first_name": "BRANDALL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "770-537-8889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE008702",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00977479A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1150628",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lovvorn Drug Company LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lovvorn Drug Company LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Kimball Key, M.D.
• Abdul Aziz Khan, MD
• Brandi Leak, LCSW
• Lovvorn Drug Co
• Lovvorn Drug Co LLC (Brandall Lovvorn Drugs)
• Lovvorn Pharmacy
• Brandall Lovvorn, RPH. PHARMD
• Crystal Harris Lovvorn, PA-C
• Rebecca Jean Maddox, LPN
• Amber Maradiaga, PHARMD

• Community/Retail Pharmacy in Bremen, GA
• Providers in Bremen, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.